Kelly Ann P. Suanding,
Maria Lowella F. De Leon
December 16, 2021-January 16, 2022
Background. The survival of critically ill patients has significantly improved in recent years. However, little attention is paid to the frequent physical, mental and/or psychological consequences that significantly contribute to worsened morbidity and quality of life long after ICU discharge. To date, this area of patient care has yet to be explored in the Philippine setting.
Objectives. This study aimed to determine the clinico-demographic profile, health-related quality of life (HRQOL) and clinical outcome of patients admitted in the ICU of Baguio General Hospital and Medical Center.
Methods. This was a cross-sectional study conducted on 23 patients chosen by simple random sampling. Eligible subjects included those aged ≥18 years, admitted for >24 hours, on non-invasive/invasive mechanical ventilator and/or at least one vasopressor, GCS ≥11, and with signed informed consent. The clinico-demographic profile, severity of illness (using SAPS II and SOFA) and HRQOL (using the interview-guided SF-36 form) were assessed. Follow-up was done at 2 weeks post-discharge to determine HRQOL and clinical outcome.
Results. Patients included were males (61%) and females (39%) with mean age of 62 years (SD=17.39), mean BMI of 22.13 mg/kg2 (SD=1.85), mean length of ICU stay of 18.96±11.24 days, mean SOFA score of 5.39±2.54, and mean SAPS II of 38.26±10.7. These variables were found to have no significant influence on patient mortality (13%) at 2 weeks post-discharge. The PCS and MCS scores on admission were 47.67 and 76.82, which decreased significantly to 41.84 and 69.13, respectively, upon discharge. The PCS score improved significantly to 50.32 on follow-up at 2 weeks, while MCS decreased further to 67.35 (p<0.05).
Conclusion. The PCS scores showed significant improvement over time, while a significant decrease in the MCS scores were observed. There was no correlation found between the clinico-demographic variables and patient mortality.
Keywords: Critical illness, ICU survivors, quality of life, mortality, SF-36
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